Liver enzymes during a long TB-500 cycle

T
Joined 2026
26 posts
3/14/2026 ยท 1895 views

Quick anecdote and looking for confirmation. 16 weeks of TB-500 (2.5mg loading x4 weeks, 2mg/wk maintenance). Pulled LFTs at baseline, week 8, week 16.

  • AST: 22 -> 27 -> 26 U/L
  • ALT: 24 -> 32 -> 30 U/L
  • ALP: 74 -> 78 -> 73
  • GGT: 18 -> 21 -> 19

All in range the whole time but ALT is trending a touch up at the 8-week mark then stable. Training didn't change, no new supplements, no alcohol uptick.

Is this real or noise? Anyone else tracked LFTs through long TB cycles?

6 Replies

D
Joined 2025
119 posts
dr_doubtRegular
3/14/2026

There's your answer. Leg day within 72h will puff ALT and AST via muscle leak (CK too). Not liver. If you want clean LFTs, take 96+ hours off training before the draw.

C
Joined 2025
27 posts
cbc_cmpMember
3/14/2026

ALT 24 -> 32 is about 33% which sounds big but is inside within-person CV for ALT (~15-25%) plus the small n. Alone I wouldn't read anything into it. Also, ALT is sensitive to RECENT training โ€” if you trained hard in the 72h before the draw it'll be 10-20% higher just from that.

โ””GH axis test
  • Sermorelin ยท 300 mcg ยท pre-bed ยท sub-Q
  • Ipamorelin ยท 200 mcg ยท pre-bed ยท sub-Q
T
Joined 2026
26 posts
3/14/2026

Trained legs about 48h before the week-8 draw. So that's a confound.

P
Joined 2026
50 posts
3/16/2026

Also pull CK alongside LFTs next time. If CK is elevated, the ALT bump is muscle not liver. Clean way to disambiguate.

T
Joined 2025
50 posts
3/16/2026

I've done 2 long TB cycles (12 and 14 weeks) with LFTs pulled, rest-adjusted, and neither showed any real liver signal. Anecdotal consensus seems to be TB is not hepatotoxic at these doses.

โ””Pulley A2
  • BPC-157 ยท 250 mcg ยท 2x/day local ยท sub-Q
  • TB-500 ยท 2 mg ยท weekly ยท sub-Q
A
Joined 2026
17 posts
3/17/2026

Can confirm โ€” 10 weeks TB, LFTs stone cold flat.

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